This report, illustrated with photographs, provides an important picture of the challenges and opportunities facing fish and those engaged in fish habitat conservation efforts. Urbanization, agriculture, dams, culverts, pollution, and other human impacts have resulted in specific areas of degraded habitat where restoration is most likely needed to bring back the healthy habitats and fishing opportunities that once existed. Addressing degraded habitat also requires reducing or eliminating the sources of degradation mentioned in this report, through best management practices, land use planning, and engaging landowners, businesses, and local communities in the effort. This report identifies areas where those efforts are most needed. The report also points to areas where fish habitat is most likely still intact and should be protected to maintain its value for fish and other aquatic organisms. Resources for fish habitat conservation are limited, especially for the next few years. This report illustrates the need for strategic use of those existing resources through partnerships — such as the Fish Habitat Partnerships established under the National Fish Habitat Action Plan — that can identify the most effective use of funds and help the nation as a whole make progress in fish habitat conservation.